Quality Improvement Manager

1922 The Alameda
San Jose, CA 95126, USA

Work Schedule is Mon-Fri 8:30am-5:00pm.

Pay range is $130K - $140K per year depending on the relevant years of experience.

We offer a competitive package of employee benefits for 30 to 40-hour week positions. You will receive a defined contribution amount of up to $15,433.08 per year (prorated for part-time employees working less than 40 hours per week) to purchase the benefits of your choice on a cafeteria plan basis. Any amount of this defined contribution not used towards your benefits will be paid to you as taxable earnings.

We offer a retirement plan with a generous employer match starting at 4% after one year of employment. Our paid time off is also more generous than many employers with vacation time accruing up to 25 days per year, 6 days of sick time per year and 12 paid holidays.

• Medical benefits – Kaiser—ranging from $0 Deductible Plan with $15 Copay to $3,400 Deductible Plan with Health Savings Account. Sutter Health plans are also available from $0 Deductible Plan to $2,500 Deductible Plan.
• Dental benefits – Guardian: 1 dental HMO and 2 PPOs
• Vision benefits – 2 options from Guardian VSP: a standard vision plan and an enhanced vision plan

• Lead Agency Quality Improvement (QI) program in the evaluation, development, implementation, and coordination of its mental health and substance use programs and services, ensuring consistency and compliance with Agency clinical framework, established practices and systems, contract requirements, financial goals, and applicable regulations.
• Utilize various means and methodologies to create and maintain a comprehensive Quality Improvement Plan (“QIP”); monitor and revise clinical policies and procedures.
• Develop multiple data sources, design data collection requirements, assist in development of reporting systems, analyze data to monitor emerging consumer and community needs, and recommend changes in clinical programs, services, and activities.
• Develop and implement continuous improvement activities for clinical operations, including use of outcome data for improving the quality and delivery of care.
• Design and implement systems and protocols for the management, completion, monitoring, compliance review and storage of clinical documentation/medical records.
• Design, implement, monitor, analyze and report findings from clinical risk management systems.
• Participate in the development of clinical pathways, utilization management protocols and utilization review systems.
• Develop special projects, including the development of new service content, technology or special events.
• Oversee the establishment of protocols, systems, documentation quality standards, practice guides, and outcome measures and training activities to assist staff to learn them and comply with contractual, regulatory, accreditation, and excellent practice and standards.
• Obtain, interpret, and maintain applicable, up-to-date regulations and requirements for the creation and revision of the QIP.
• Work with the Clinical Training and Supervision Department to develop protocols and training activities to teach and assist staff to develop and implement self‑audit and care monitoring systems.
• Implement and evaluate continuing education/in‑service training programs based on QI/RM findings and to enhance staff knowledge on various QI/RM related topics.
• Function as the Momentum contact with payor QI departments and assist fiscal and personnel determine payor requirements.
• Present to the Board of Directors on Quality initiatives and performance on an as‑needed basis.
• Select, train, supervise, and evaluate subordinate staff.
• Apprise the Executive Team and the Board of updates, issues, major changes, and irregularities in the QI Plan and results of internal and external audits and the impact, positive and negative, on contracts and operations.
• Lead Quality Improvement Committee consisting of program leaders to evaluate performance under QIP.

• Represent Momentum Quality Improvement Department at meetings and events with SCCBHSD, County Quality Improvement, local community colleges, universities, health care…